Individual
DR. AMANDA LEIGH DARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
400 19TH ST E, JASPER, AL 35501-5416
(205) 221-4048
(205) 221-4686
Mailing address
400 19TH ST E, JASPER, AL 35501-5416
(205) 221-4048
(205) 221-4686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760583132
—
AL
Enumeration date
09/26/2006
Last updated
02/01/2012
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